Provider Demographics
NPI:1487035945
Name:SINGH, JASKEERAT (MD)
Entity Type:Individual
Prefix:
First Name:JASKEERAT
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1580
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-8004
Mailing Address - Country:US
Mailing Address - Phone:541-298-7971
Mailing Address - Fax:541-296-6431
Practice Address - Street 1:1700 E 19TH ST
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058
Practice Address - Country:US
Practice Address - Phone:541-296-1111
Practice Address - Fax:541-296-7601
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE16022207R00000X
IN01088433A207R00000X
MI4301507669207R00000X
NC2022-02055207R00000X
390200000X
ORMD185413207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty